FCPS Part 1 Dentistry paper 1 n 2 4th february 2015
PAPER-A
(4 February 2015)
1. Some scenario, a premature infant bruises on skin and jaundice. mother used anti biotic during pregnancy. Malnourished. Which vitamin deficiency is there.. (and yes there were two vit B, B options)
a. Vit A
b. Vit B
c .Vit B
d. Vit C
e. Vit K
2. The hormone which increases in secretion as darkness increases?
A) thyroid hormone
b) growth hormone
c) ACTH
d) Melatonin
e) Serotonin
3. regarding nasal septum which is right,
A. is always in mid line
B .is formed by 3 bone n one cartilage
C . superior part have neuroepithelium
D. deviated in most or some of individuals
4. Saliva contains
a. alpha amylase
b. beta amylase
c. alpha and beta amylase
d. delta amylsae
5. normal level of PTH in blood is in
a. pseudohypoparathyroidism
b. osteoporosis
c. renal failure
d. hypoparathyroidism
e. hyperparathyroidism
6. limited mouth opening due to infection caused by carious third molar, which space is inlvolved
a. submessetric space
b. lateral pharyngeal space
c. buccal space
d. submandibular space
e. submental space
7. male patient, grossly carious lower third molar, where would the infection spread due to this tooth?
a. submandibular space
b. submental space
c. parotid space
d. buccal space
8. true about pinna is
a. elastic cartilage
b. fibrous cartilage
c. hyaline cartilage
9. elastic cartilage present in
a. epiglottis
b. meniscus of knee joint
c. intervertebral disc
d. chostochondral joint
10. Trauma to upper Central incisor of 7.5 yrs child with pulp involvement and have fracture line on xray. How would you provide treatment.. (they dint ask for best tx, I double checked)
a. Apexification
b. apexogenesis
c. pulpotomy
d. root canal treatment
e. pulpectomy
11. True about internal acoustic meatus is
a. passes facial and vestibulocochlear nerves
b. lies under middle cranial fossa
c. contains incus malleus
d. some wall is blind end something option (anterior wall maybe)
e. it is 2.5 cm long
12. True about internal acoustic meatus is
a. passes facial and vestibulocochlear nerves
b. lies under middle cranial fossa
c. contains incus malleus
d. some wall is blind end something option
e. it is 2.5 cm long
13. True about internal acoustic meatus is
a. passes facial and vestibulocochlear nerves
b. lies under middle cranial fossa
c. contains incus malleus
d. some wall is blind end something option
e. it is 2.5 cm long
(one question repeated three times)
14. Some scenario,.. pt felt buzzing in ear, loss of hearing, hemi-facial paralysis of same side.. lesion is at
a. internal acoustic meatus
b. injury to nerve of stapedius
c. facial canal
d. stylomastoid foramen
15. Scenario- Extraction of 3rd molar (time period given, I guess 6 days). all clinical radiological signs of dry socket, clot not forming due to----
a. plasmin
b. plasminogen
c. fibrin
d. thrombin
e. fibrinogen
16. Percentage of water content of mature enamel is
a. 4%
b. 10%
c. 30%
d. 90%
17. A diabetic patient is advised fasting blood glucose level, at what value doctor is confusing and needs further evaluation with glucose tolerance test?
a. 04 mmol/l
b. 05 mmol/l
c. 07 mmol/l
d. 10 mmnol/l
e. 15 mmol/l
18. Saliva secretion is controlled by which CN
a. facial
b. hypoglossal
c. glossopharyngeal
d. trigeminal
19. Enzyme which convert Nor-epi to epinephrine
a. Phenylethanolamine-N-methyltransferase
b. other options related to the cycle.. dopa to l-dopa something..
20. Total ATPS produced by complete breakdown of 1 glucose to CO2 & water are
a. 10
b. 14
c. 20
d. 36
e. 38
21. Number of vertebras in body
a. 31
b. 32
c. 33
d. 34
e. 38
22. Tongue deviates to right on protrusion due to damage to
a. right hypoglossal nerve
b. left hypoglossal nerve
c. right lingual nerve
d. left glossopharyngeal
23. What decreases with aging
a. BP
b. Heart rate
c. pulse rate
d. residual volume
e. vital capacity
24. Scenario (maybe female) regarding Swelling in neck (forgot if swelling was firm or mobile), hoarseness of voice. there were other clinical findings given. best diagnostic test
a. xrays
b. radio scan
c. Thyroid test
d. biopsy
25. Nerve supply to tooth apex starts in which stage
a. bud stage
b. bell stage
c. apexogenesis
d. amelogenesis
e. dentinogenesis
26. Extraction of lower third molar, most likely nerve that is damged
a. lingual nerve
b. mental nerve
c. facial nerve
d. inferior alveolar nerve
27. the enzyme which is responsible for transfer of CO2 from tissues to blood and from blood to lungs
a. carbonic anhydrase
b. enolase
28. In exercise, skeletal muscles blood supply is increased by
a. parasympathetic
b. vasodilation by local metabolites
c. sympathetic
d. alpha adrenergics
e. beta adrenergics
29. True about maxillary sinus is
a. floor is formed by alveolar process of maxilla
b. lateral wall formed by….
c. some relation to cranium I guess
d. medial wall formed by sphenoid bone
e. has a small opening in its medial wall
30. True about all paranasal sinuses is
a. Develop at late fetal life
b. lined with pseudostratified columnar ciliated epithelium
c. all are diverticulae of nasal cavity
31. Howships lacunae contains
a. osteoblasts
b. osteocytes
c. osteoclasts
d. chondroblasts
e. chondrocytes
32. Bone that develops by both intramembranous and endochondrial ossification
a. mandible
b. maxilla
c. zygomatic
d. temporal
e. occipital
33. the joint or junction or the union between two halves of the mandible at an early age or at childhood is
a. symphesis
b. gomphosis
c. synchondorsis
d. syndesmosis
34. Patient had accident, now present with memory loss, which area is involved
a. hippocampus
b. thalamus
c. hypothalamus
d. cerebellum
e. cerebral cortex
35. Strongest stimulus for erythropeitein
a. hypoxia
b. increased ph
c. decreased ph
36. Most radiosensitive is
a. bone
b. haematopoeitic tissue
c. oral mucosa epithelium
d. respiratory epithelium
e. gut epithelium
37. Most radiosensitive is
a. germ cells in gonads
b. lymph node
c. intestinal epithelium
d. oral mucosa epithelium
e. gut epithelium
38. neural crest cells from the edges of neural tube fold in from hindbrain to form
a. Ligamentun arteriosum
b. foramen ovale
c. right atrium
d. papillary muscle
e. endocardial septum/cushions bw left and right atria
39. NOT derivative of neural crest cells
a. ameloblast
b. odonotblasts
c. glial cells
d. C cells of thyroid
e. sensory ganglion
40. Neural crest derivative is
a. dorsal horn cell
b. ventral horn cell
c. sensory ganglia
d. sensory ganglion of spinal nerves
41. Pt with bilirubin 10, having unconjugated bilirubin 1 and conjugated 9
a. Gilbert syndrome
b. hepatitis
c. hemolytic anemia
d. Wilson disease
e. Criggler Najjar syndrome
42. Fats that are transferred from its storage site to liver and kidneys is in the form of
a. free F.A bind to albumin
b. chylomicrons
c. TGs
d. VLDL
e. free fatty acid
43. Neural tube defect detection test in early pregnancy
a. amniocentesis
b. chorionic villus sampling
c. beta HCG
d. ultrasonography
e. xray abdomen
44. Damage to chorda tympani causes
a. loss of taste
b. loss of hearing
c. loss of smell
45. Some long scenario, that patient feels heaviness in eyelids n gets tired while talking, all about “myasthenia gravis”.. Motor activity also restricted. Which drug should b given to improve condition?
a. acetylcholine
b. acetylcholine esterase
c. acetylcholine esterase inhibitor
d. acetyl CoA
46. Renal blood flow best measured by
a. para amino hippuric acid (PAH)
b. insulin clearance (yes folks, there was insulin written there, I double checked)
c. creatinine clearance
d. is 1/3 of cardiac output
47. Milk is deficient in
a. pentothenic acid (answer)
b. vitamin C
c. iron
d. vitamin A
e. riboflavin
48. Parotid gland duct opens at
a. upper second molar
b. lower second molar
c. upper second premolar
d. lower second pre molar
49. Patient with accident and no visible injury has PH 7.6, PC02 20, HCO3 20
a. respiratory alkalosis
b. respiratory acidosis
c. metabolic alkalosis
d. metabolic acidosis
e. regulatory?? Acidogenesis
50. At age of 10-11 which teeth are present?
a) 13,23,35,45
b) 13,23,34,44
c)14,24,33,43
d)15,25,33,43
e. 13,23,33,43
51. Patient has anemia with git problem n neurological disturbance (and maybe some other features). Which factor is deficient
a. iron
b. intrinsic factor
c. vitamin B12
d. vitamin B1
e. vit C
52. Sucrose is
a. non-reducing sugar
b. is a disaccharide of glucose and glucose
53. Step which is common in both glycolysis and gluconeogenesis (the options maybe slightly wrong, but they were somewhat like this)
a. fructose 6 phosphate to glucose 6 phosphate (this option was definitely there)
b. citrate to oxaloacetate
c. glucose 6 phosphate to pyruvate
d. fructose 1,6 phosphate to fructose 6 phosphate
54. Defecation is carried out by
a. mass movement
b. parasympathetic reflex from sacral region
c. duodenocolic reflex
d. ileocolic reflex
e. (some hormone related option)
55. Thyroid hormone is released in blood flow in which (I guess the word “active” was used) form
a. thyroglobulin
b. thyroxine
c. T3
56. Mesiolingual cusp of upper 2nd Molar occludes with (yess cpsp had written lingual instead of palatal for upper tooth :/)
a. central fossa of lower 2nd Molar
b. buccal ridge of lower 2nd molar
c. in embrasure bw 1st and 2nd molar
d. in embrasure bw 2nd and 3rd molar
57. Iodine
a. requirement is increased during pregnancy
b. iodine uptake is controlled by pituitary
c. increase in adolescence
d. decreased intake leads to deficiency
e. is necessary for synthesis of thyroid homrone
58. Buffer for blood is
a. bicarbonate
b. phosphate
c. protein
d. hemoglobin
59. Tooth bud for development of dental lamina first appears at
a. 4th week of development
b. 6th week of development
c. 10th week
d. 11th week
e. 5th week
60. Regarding second heart sound
a. split in two in normal healthy individuals
b. low in frequency (pitch) then first
c. shorter duration then first
d. second is more prominent in diastole
61. Self replicating organelle
a. mitochondria
b. peroxisome
c.golgi bodies
d. endoplasmic reticulum
e. ribosomes
62. Macrophages for ingestion by phagosytosis, the enzymes are stored in
a. lysosome
b. peroxisome
c. golgi bodies
63. Regarding gingival (gums)
a. partially supplied by facial nerve on buccal side
b. partially supplied by buccal nerve
c. partially supplied by ------ on lingual side
d. partially supplied by ----- and ---- on lingual or buccal side
e. epithelium is of stratified squamous variety
64. Bone that develop by membrano endochondral ossification
a. nasal
b.sphenoid
c. parietal
d. temporal
e. zygomatic
65. Primary Fastest conducting fibres
a. A-alpha
b. A-beta
c. A-delta
d. C fibres
e. B fibres
66. Vitamin B12 is absorbed in
a. ileum
b. duodenum
c. colon
d. stomach
67. (another ileum related mcq)
Patient has done gastrectomy something or loss of ileum , which factor deficient
a. vitamin B12
68. Effect of normal exercise to increase minute ventilation is due to
a. increase CO2
b. decrease CO2
c. increase O2
d. Chemoreceptors
69. Brachial plexus related , which branch supplies extensors of arm
a. medial
b. lateral
c. medial n lateral
d. posterior
e. i forgot
70. Brachial plexus related one more tht which artery crosses or pta nai loops around (i guess) the brachial plexus ki pta ni konsi branch
a. suprascapular
b. transverse scapular
c. Supraclavicular
71. Regarding expiration
a. elastic recoil of diaphragm
b. elastic recoil of chest wall n lungs
c. external intercostals
d. serratus anterior
72. Free nerve endings are receptors of
a. pressure
b. fine touch
c. pain
d. temperature
73. Woven bone is
a. found in epiphysis
b. synonymous with primary or immature bone
c. synonymous with secondary bone
74. Upper lip is formed by
a. lateral nasal and maxillary process
b. medial nasal n maxillary process
c. medial nasal n lateral nasal process
75. Most common glial cells in brain grey matter
a. oligodendrocytes
b. fibrous astrocytes
c. Schwann cells
d. ependyma
76. Correct regarding vitamin C is
a. oxidizing agent
b. reducing agent
c. help in formation of proline side linkage (hydroxyproline)
d. act as co-enzyme for some reaction
e. co-factor in some reaction
77. Normal amount of daily intake
a. calcium 3g, phosphate 2g daily
b. calcium 2g, phosphate 3g
c. calcium n phosphate both 2g
78. Regarding middle ear
a. roof formed by tegmen tympani
b. floor has promontory
c. fenestra cochlea has three projections
d. mesial wall has stapes, malleus
79. First extracranial branch of facial nerve
a. zygomatic
b. posterior auricular
c. cervical
d. buccal
e. maxillary
80. Pituitary acidophils
a.controlled by releasing hormones , inhibiting hormones
b.controlled by releasing hormones, target tissues, inhibiting hormones
c.controlled by releasing hormones, target tissues
d. controlled by releasing hormones only
e. positive feedback
81. Dietary fibers
a. help in digestion of other food
b. are insoluble in water and large polysaccharides
82. Vestibular nerve contains
a. afferent fibres
b. efferent fibres
c. afferent and efferent
d. sympathetic fibres
e. mixed (parasymp n symp) nerve
83. Mandibular foramina
a. provide attachment to ligaments
b. lingula is posterior to it
c. hypoglossal nerve passes through it
d. provides axis for mouth opening
84. Regarding Brachial plexus, each cord
a.contents pass through axilla
b. has got branches from C5-T1
85. Relation of right vagus nerve with trachea while entering thorax
a. direct contact
b. separated by recurrent laryngeal nerve
c. azygos vein
d. separated by phrenic nerve
e. separated by brachiocephalic vein
86. Structure of floor of mouth has
a. long papilla with elastic and collagen fibers
b. long papilla with collagen fibers
c. small papilla with elastic fibers
87. Levator anguli oris muscle is innervated by
a. facial nerve
b. trigeminal nerve
c. glossopharyngeal
d. vagus nerve
88. True about osteogenesis
a. long bones grow by interstitial growth
b. uncalcified, unmineralized, initial bone formed is called osteoid
89. A boxer came to doctor for eye examination. Vision 6/6. He can lift eyeball but when he tries to depress eyeball then it rotates medially. Patient has diplopia. Which nerve is likely to be damaged
a. trochlear
b. abducent
c. superior nucleus of occulomotor
d. facial
e. inferior nucleus of occulomotor
90. Regarding coronary blood supply
a. occurs in systole
b. is independent of heart rate
c. supplied by/ controlled by ------sympathetic maybe
d. remains same during exercise,,I think ????
e. how much % of cardiac output ???
91. Regarding pyloric pump
a. pass contents from stomach to duodenum
b. increased by cholecystekinin
c. option related to some valve
d. option related to nerve supply (maybe inhibited by gastrin or ACh) ???
92. Patient has 2ml blood loss, in 1 hour, which is true regarding
a. decrease stroke volume
b. increased blood pressure
c. increase heart rate
d. decrease venous return
e. mild sympathetic response
93. Effect of moderate exercise on healthy individual
a. increased CO2
b. ph of blood remains same??
c. cardiac output and contractility related option
94. Viruses damage cells by
a. generating free radicals
b. altering protein synthesis
c. destroying cell nucleus
95. Glycoproteins are
a. contain carbohydrate (and protein?????)
b. contain phospholipid
c. option related to dna or rna somehing
96. regarding hormones
a. thyroid hormone causes linear growth (this option was in ppr, i remember it cz i marked it )
b. growth hormone (not so sure about this one, I remember this, my friends don’t :/)
c. somatomedins increase bone growth
97. vibration receptors are
a. pacinian
b. ruffini
c. merkel
d. meissener
98. regarding brain blood flow
a. have precapillary anastomosis
b. uniform through brain
c. at rest, get 20% blood supply
99. which is true about SA node (forgot the exact options)
a. option was like- sa node is more related to pericardium
b. option related to purkinje
c. option related to ventricle
100. nerve supply to lower lip
a. mental nerve
b. lingual nerve
c. facial nerve (maybe other options were also there, don’t remember this question n its options exactly)
PAPER-B
(4 February 2015)
1. Material used to condition dentine prior to placement of GIC??
a. bonding agent
b. primer
c. polyacrylic acid
d. citric cid
2. organic component which is same and most abundant in bone and dentine ??
a. collagen
b. glycosaminoglycans
c. elastin
d. hyaluronic acid
3. u have to give ceramic jacket crown, the die material suitable for/ used in this case will be ??
a. acrylic
b. amalgum
c. hard plasrer
d. electroplared copper
e. gold something.. not sure
4. Drug of choice for status epilepticus
a. diazepam
b. phenytoin
c. phenobarbitone
d. carbamazepine
5. Maximum dose of lidocaine with adrenaline which can b given in healthy individuals.......
A. 2 mg/kg
B. 5 mg/kg
C. 10 mg/ kg
D. 7 mg/kg
E. 15 mg/kg
6. Inhalation anaesthetic that increases cerebral Blood.flow
a. enflurane
b. halothane
c. sevoflurane
d. desflurane
7. Brain tumor with b lymphocytes, test for antibodies against which causative agent
a. CMV
b. EBV
c. HIV
8. Sulphonamide
a. causes Steven Johnson syndrome
b. is bactericidal
c. kernecticerus
d. is not used for UTI
9. Aminoglycoside is
a. amikacin
b. ciprofloxacin
c. chloramphenicol
d. clindamycin
e. vancomycin
10. Propanolol is contraindicated in
a. asthma
b. glaucoma
c. renal failure
d. hypertension
11. Increase in swelling due to involvement of lower molar is due to
a. hyaluronidase
b. enolase
12. 12 year boy with fracture of mesio-incisal edge of lower central incisor, no pulp exposure, material of choice for restoration is
a. amalgam
b. etching and resin restoration (composite)
c. GIC
d. acrylic
e. some option with inlay I guess
13. Penicillin
a. activated by B-lactamase
b. it has 4 beta-lactam groups that has antibacterial activity
c. is more affective against gram negative due to thick cell wall
d. was first discovered from amazon plant
14. NSAIDS are
a. potent COX inhibitors
b. used as antiepileptic
15. Absolute contraindication for sedative hypnotics is
a. angina pectoris
b. renal failure
c. epilepsy
d. liver damage
e. porphyrias
16. Acanthosis occurs in which layer
a. stratum granulosum
b. stratum spinosum
c. stratum basale
d. stratum corneum
17. Adrenaline/ Epinephrine cause decrease in
a. BP
b. HR
c. glucose level
d. BMR
e. cutaneous blood flow
18. ideal plaster
a. Alpha hemihydrates
b. beta hemihydrates
c. hydrocal
d. calcined calcium sulphate
e. calcium dihydrate
19. Strengthening agent in investment materials is
a. Quartz
b. cristoballite
c. stone
d. potassium tartrate
e. borax
20. principal hardener for noble metal alloys (vijay partab mcq)
a. platinum
b. copper
c. iron
d. silver
e. brass
21. Signs of morphine toxicity
a. miosis and bradypnea
b. miosis and tachypnea
c. mydriasis and bradypnea
d. mydriasis and tachypnea
e. bradypnea and half miosis (yes there was some inbetween weird option)
22. Morphine used
a. treat pain of terminally ill cancer patient
b. biliary colic
23. Regarding cornybacetrium diphtheria
a. forms spores
b. is a rod
c. forms exotoxins
d. gram negative
e. penicillin not effective on it
24. Multilocular radiolucency in mandible at lower third molar area
a. ameloblastoma
b. dentigerous cyst
c. fibrous dysplasis
25. Strongest phase in amalgam (vijay partab mcq)
a. gamma phase
b. gamma 1 phase
c. beta 1 phase
d. alpha 2 phase
e. gamma 2
26. HLA b27 causes which disease
a. ankylosing spondylitis
b. primary sjogren syndrome
c. rheumatoid arthritis
27. A girl (forgot her age) complains of ulcers on tongue which gets worse during stress and repeatedly recur during stress.
a. recurrent major aphthous ulcer
b. recurrent minor aphthous ulcer
c. herpetiform ulcer
28. Patient with radiotherapy of head and neck region has rampant caries due to
a. xerostomia
b. osteoradionecrosis
29. Adherence of plaque to tooth is due to
a. dextrans
b. saliva
c. sucrose
d. materia alba
30. Mechanism of action of local anesthetic is
a. block Na channels
b. block Ca channels
c. block K channels
d. block acetylcholine receptors
31. Patient took terfenedine for spring allergy. Later he developed respiratory tract infection, for which he was given an antibiotic but later developed arrhythmias.. Which antibiotic he was given tht caused arrhythmias?
a. ampicillin
b. cefaclor
c. erythromycin
d. ceftriaxone
e. doxycycline
32. An antibiotic which has antifungal activity (“systemic” antifungal-not sure?)
a. bacitracin
b. nystatin
c. tetracycline
d. ketoconazole
e. polymyxin
33. Heavy smoker, complains of dyspnea, chest pain and hemoptysis since three months. Bronchoscopy reveals fungating mass obstructing medium sized bronchi. Histologically what can this tumor be?
a. small cell carcinoma
b. squamous cell carcinoma
c. adenocarcinoma
d. bronchial carcinoma
34. Common cause of venous thrombosis
a. prolonged immobilization
b. protein C deficiency
c. antithrombin III deficiency
d. tissue damage in surgery
35. Scenario of a male patient who had prostate surgery. The patient was on bed rest (forgot exact time period like how many days bed rest) and his recovery was going smoothly without any complication. One day he went to bathroom, after returning he suddenly developed dyspnea and fell down (sorry I forgot the rest of the story)
a. pulmonary embolism
b.
36. True about prostaglandins
a. arachidonic acid metablolites
37. Patient with history of thyrotoxicosis now presents with exophthalmos, best diagnostic test is
a. antithyroid antibodies
b. TSH
c. T3 and T4
38. Blood transfusion reaction occurs due to
a. type 4 hypersensitivity
b. type 2 hypersensitivity
c. type 1
d. type 3
39. Polymerization shrinkage in pure methyl methacralate is (vijay partab mcq)
a. 33%
b. 21%
c. 60%
d. 30%
e. 7%
40. Patient has painless swelling in mid palatal region region which is non tender
a. nasoalveolar cyst
b. globulomaxillary cyst
c. torus palatinus
d. carcinoma
41. calculi in the salivary duct, causes which of the following changes
a. apoptosis
b. degeneration
c. necrosis
d. atrophy
42. Zinc oxide eugenol impression paste hardens by
a. chemical reaction
b. moisture
43. Bronze discoloration on oral mucosa is seen in
a. addison’s disease
b. amalgam filling
c. peutz jegherz syndrome
44. What is necessary for plaque formation?
a. sucrose and saliva
b. sucrose and glucose
c. sucrose and lactic acid
d. calcium phosphate n bicarbonate
45. Patient has gone through partial hepatectomy. Liver regenerates in
a. 7 days
b. 12-14 days
c. 7 weeks
d. 5 weeks
46. Most common route of hepatitis B and C from patient to doctor is
a. blood transfusion
b. contaminated needles prick
c. water droplets
d. air
47. In case of chronic hepatitis, what changes may be seen microscopically
a. fibrosis
b. lymphatic infiltration
c. councilman bodies
48. Councilman bodies are seen in (some scenario was given n lab findings as well)
a. apoptosis
b. coagulative necrosis
c. liquefactive necrosis
d. enzymatic fat necrosis
49. Scenario of man inhaling silica dust for 6 years due to his job. Developed Cough. 1cm mass on x-ray. Other histological features were also given (the scenario was quite long). What cells may be seen in his lungs
a. foreign body giant cell
b. eosinophils
c. lymphocyte
d. some carcinoma maybe in options was there
50. Aspirin causes
a. GI bleeding and ulcers
b. causes seizures
51. Local anesthesia (I forgot if adrenaline was mentioned or not) is contra indicated in
a. ischemic heart disease
b. cushing disease
c. thyrotoxicosis
d. hyperglycemia
e. renal failure
52. Scenario about an African-American woman, 25 yr of age, who has long history of severe anemia, weakness, non healing leg ulcers. Have had multiple lifelong transfusions. Frequently visits hospital for abdominal pain and git problem. What is diagnostic feature
a. sickle cell
b. tear drop cell
c. shistocytes
d. positive coombs test
53. Area most sensitive to inhalational anesthesia
a. cerebral cortex
b. respiratory medullary cortex
c. thalamus
d. reticular part
e. limbic system
54. Sub endothelial deposits are seen in
a. diabetes mellitus
b. acute pyelonephritis
c. other options related to renal pathology
55. Patient has decreased submandibular gland secretion and pain during mastication. Salivary calculi is suspected. What would be ur choice of x-ray to detect this
a. periapical view
b. OPG
c. lateral view
d. mandibular occlusal view
e. paranasal sinus view
56. Fever (pyrexia) is mediated by
a. IL-1 and TNF-alpha
b. IL-12
c. C3b
d. leukotrienes B4
57. Which of the following is used to treat pathogenic fungi
a. clindamycin
b. amoxicillin
c. ketoconazole
58. While curing denture, insufficient pressure is applied. Porosity will be seen at (vijay partab mcq)
a. at thickest area of denture
b. uniformly distributed throughout the denture surface
c. at denture periphery
d. at junction bw tooth n base
e. in frenum areas
59. Area under stress-strain curve, the energy required to fracture material is (vijay partab mcq)
a. ultimate tensile strength
b. toughness
c. hardness
d. elastic limit
e. resilience
60. Some long scenario.. Painful, redness, tenderness, swelling in right big toe, in metacarpophalyngeal joints, thumbs, fingers and bla bla. Nodules on same side of knee. Which factor is responsible?
a. uric acid
b. RA factor
c. Anti Nuclear Antibody
d. anti DNA antibody
61. A child comes to you with bowed legs (long scenario, it had other clinical features n lab values were also given, gait was also affected I guess). Ca 6, alkaline phosphatase 1080. Diagnosis
a. osteomalacia
b. rickets
c. osteoporosis
d. osteopetrosis
62. Metastatic calcification most commonly occurs in
a. kidney
b. lung
c. bone
63. Scenario; Old age, diabetic patient with lower limbs swelling, now to confirm renal failure. best test
a. urea & creatinine plasma level
b. urine dipstick test
c. creatinine clearance
64. In what condition, there will be renal stone in 75% cases
a. hyperparathyroidism
b. hypoparathyroidism
c. polycystic kidney
d. hypervitaminosis D
65. Drug metabolized by non blood, non tissue esterase
a. fentanyl
b. morphine
c. remifentanil (answer)
d. sulfantanyl
e. alphafentanyl
66. Reduced occlusal area means
a. increased marginal fracture of amalgam filling
b. decreased marginal fracture of amalgam filling
c. periodontal involvement
d. pulpal involvement
67. Decreased cerebral blood flow caused by
a. seizures
b. anemia
c. hyperbaric oxygen
d. 7% CO2
e. intraventricular inj of nor-epinephrine
68. Regarding antibody binding site, it is formed by
a. highly variable region of H and L chains (answer)
b. constant region of H and L chain
c. constant region of H chain, variable L chain
d. constant region of L chain, variable H chain
69. A 50 year old man fell on sidewalk and got bruises on left hand. He got up but suddenly got severe pain on right side, a manager from nearby shop called hospital. In emergency dept, on x-ray, trachea was found to be deviated to right side. There was tachycardia and tachypnea, dyspnea. No breathing sound on right lung. Upon thoracocentesis there was rush of air.. (it was a very long, weird scenario; other findings were also given)
a. bronchoplural fistula
b. intrinsic asthma
c. pulmonary effusion
d. emphysema
e. foreign body aspiraion
70. Obtundants act by
a. blocking dentinal tubules
b. anesthetizing dentinal tubules
c. precipitating protein in dentinal tubules
d. promoting secondary dentine formation
71. After abdominal surgery, 2 month scar would have
a. 50-70% strength will improve rapidly
b. 50-70% improve slowly due to modification of collagen
c. no effect
d. 90-80% complete strength
72. Some long scenario related to heart. There was infarction in right coronary artery 2cm from point of origin. After 3 days, which enzyme or factors would be found that would help in healing process? (it was a weird scenario, had some grammatical mistake which made it more confusing, other findings were also given which I forgot)
a. C3b complement
b. vascular endothelial growth factor (VEGF)
c. histamine
73. Primary difference between primary and secondary wound healing
a. granulation tissue
b. keloid
c. contraction of wound
74. Granulation tissue
a. traps bacteria
b. provides nutrients to macrophages
c. helps in wound contraction
d. something related to neutrophils maybe
75. Scenario. Edema in legs due to increase hydrostatic pressure
a. nephrotic syndrome
b. protein losing enteropathy
c. liver damage
d. constrictive pericarditis
76. Hyphema is hemorrhage in
a. anterior chamber of eye
b. posterior chamber of eye
c. outer vascular layer of eye
d. nervous layer of eyeball
e. pigmented layer
77. Patient has been given inferior alveolar nerve block, goes into shock due to
a. hypovolumic shock
b. neurogenic shock
c. vasovagal syncope
78. A female upon examination of endocervical region is found to be having epithelial changes of stratified squamous variety. This change is
a. dysplasia
b. hyperplasia
c. metaplasia
d. aplasia
79. Vickers hardness number of type 1 gold is
a. 30-50
b. 50-90
c. 90-120
80. Regarding VEGF
a. it act primarily on receptor tyrosine kinase
b. not yet modulated pharmacologically
c. no role in healing
d. are not found on heart
e. platelet inhibiting factor inhibits VEGF
81. A person with malabsorbtion problem presents with macrocytic anemia, the rbc’s are of irregular size and shape (not sure if megaloblast mentioned or not but shape size was given). Hyper segmented neutrophils. Anemia is due to
a. vit B12 deficiency
b. intrinsic factor deficiency
c. anemia of chronic disease
82. Most common cause of iron deficiency anemia
a. persistent blood loss
b. pregnancy ??? not sure..
c. diet??? Not sure
83. Sedative hypnotics decreases skeletal muscles effect by acting on
a. cerebral cortex
b. neuromuscular junction
c. pre-junctional ----?
d. neuronal junction
e. interneuron
chandkian key= interneuron- correct
rabia ali= cerebral cortex
84. Morphine causes
a. decrease peristalsis
b. increases-----------
c. increases --------
d. increases -----------
e. increases HCL and -----------
85. Nickel when added to noble metal alloys
a. increases ductility
b. fusion temperature
c. hardness
d. strength
e. MOE
86. Silver in amalgam causes (vijay partab mcq)
a. decrease ductility
b. decrease setting time
c. increase plasticity
d. minimize formation of oxides
87. Compared to dental plaster, dental stone need
a. less gauging water
b. more gauging water
c. equal gauging water
88. Self cure and heat cure are similar in which aspect (vijay partab mcq)
a. color stability
b. curing shrinkage
c. internal porosity
d. hardness
e. strength
89. If water/powder ratio is increased in dental stone (vijay partab mcq)
a. it increases setting expansion
b. increases setting time
c. decreases setting time
d. decreases expansion
e. surface hardness increased
90. Young’s modulus or modulus of elasticity of material is indicative of (vijay partab mcq)
a. rigidity
b. resilience
c. malleability
d. breaking strength
e. impact force
91. Virus most commonly transmitted by blood
a. HBV
b. CMV
c. Hepatitis A
d. HIV
92. Scenario 9 yr old girl, suddenly develops increasing tiredness and weakness. On x-ray there is bilateral hilar lymphadenopathy. Blood test is normal, no sign of infection detected.
a. bronchial carcinoid tumor
b. goodpasture syndrome
c. hypersensitizing pneumositis
d. infective endocarditis
e. t.b
93. True regarding polysulphide impression material
a. equally sensitive to temperature during curing like other silicones
b. more temperature sensitive then silicones during curing
c. less temperature sensitive then silicones during curing
d. totally insensitive
94. Corrosion of amalgam will be less when
a. copper content 3-6%
b. copper content 18-30%
c. silver is added
d. contaminated by saliva
e. avoid gamma 2 phase
95. Aspirin acts by blocking
a. prostaglandins
b. histamine
c. bradykinin
96. Scenario, 38 yr old having prolonged history of breathing problems, dyspnea. X-ray showed emphymatous change in lung (lung vol increased). Most appropriate test
a. chloride sweat test
97. Heat treatment of metals (increase strength??)
a. attract molecules of different radii together
b. strain hardening
c. homogenization of structure
d. attract molecules of same radii together
98. Scenario, 7yr old. Weak, tired, anemic. Lymphocyte 88%, wbc 12%, platelets were normal. And rbc count was given.. confirmatory test
a. bone marrow examination
b. blood test
c. some x-rays
99. Radiations kill by
a. generating free radical
b. H2O2
c. oxides
d. oxygen
100. A patient has iron deficiency anemia, iron is necessary for
a. globin synthesis
b. heme synthesis
c. DNA synthesis
Thanks to Dr. Nafiah
PAPER-A
(4 February 2015)
1. Some scenario, a premature infant bruises on skin and jaundice. mother used anti biotic during pregnancy. Malnourished. Which vitamin deficiency is there.. (and yes there were two vit B, B options)
a. Vit A
b. Vit B
c .Vit B
d. Vit C
e. Vit K
2. The hormone which increases in secretion as darkness increases?
A) thyroid hormone
b) growth hormone
c) ACTH
d) Melatonin
e) Serotonin
3. regarding nasal septum which is right,
A. is always in mid line
B .is formed by 3 bone n one cartilage
C . superior part have neuroepithelium
D. deviated in most or some of individuals
4. Saliva contains
a. alpha amylase
b. beta amylase
c. alpha and beta amylase
d. delta amylsae
5. normal level of PTH in blood is in
a. pseudohypoparathyroidism
b. osteoporosis
c. renal failure
d. hypoparathyroidism
e. hyperparathyroidism
6. limited mouth opening due to infection caused by carious third molar, which space is inlvolved
a. submessetric space
b. lateral pharyngeal space
c. buccal space
d. submandibular space
e. submental space
7. male patient, grossly carious lower third molar, where would the infection spread due to this tooth?
a. submandibular space
b. submental space
c. parotid space
d. buccal space
8. true about pinna is
a. elastic cartilage
b. fibrous cartilage
c. hyaline cartilage
9. elastic cartilage present in
a. epiglottis
b. meniscus of knee joint
c. intervertebral disc
d. chostochondral joint
10. Trauma to upper Central incisor of 7.5 yrs child with pulp involvement and have fracture line on xray. How would you provide treatment.. (they dint ask for best tx, I double checked)
a. Apexification
b. apexogenesis
c. pulpotomy
d. root canal treatment
e. pulpectomy
11. True about internal acoustic meatus is
a. passes facial and vestibulocochlear nerves
b. lies under middle cranial fossa
c. contains incus malleus
d. some wall is blind end something option (anterior wall maybe)
e. it is 2.5 cm long
12. True about internal acoustic meatus is
a. passes facial and vestibulocochlear nerves
b. lies under middle cranial fossa
c. contains incus malleus
d. some wall is blind end something option
e. it is 2.5 cm long
13. True about internal acoustic meatus is
a. passes facial and vestibulocochlear nerves
b. lies under middle cranial fossa
c. contains incus malleus
d. some wall is blind end something option
e. it is 2.5 cm long
(one question repeated three times)
14. Some scenario,.. pt felt buzzing in ear, loss of hearing, hemi-facial paralysis of same side.. lesion is at
a. internal acoustic meatus
b. injury to nerve of stapedius
c. facial canal
d. stylomastoid foramen
15. Scenario- Extraction of 3rd molar (time period given, I guess 6 days). all clinical radiological signs of dry socket, clot not forming due to----
a. plasmin
b. plasminogen
c. fibrin
d. thrombin
e. fibrinogen
16. Percentage of water content of mature enamel is
a. 4%
b. 10%
c. 30%
d. 90%
17. A diabetic patient is advised fasting blood glucose level, at what value doctor is confusing and needs further evaluation with glucose tolerance test?
a. 04 mmol/l
b. 05 mmol/l
c. 07 mmol/l
d. 10 mmnol/l
e. 15 mmol/l
18. Saliva secretion is controlled by which CN
a. facial
b. hypoglossal
c. glossopharyngeal
d. trigeminal
19. Enzyme which convert Nor-epi to epinephrine
a. Phenylethanolamine-N-methyltransferase
b. other options related to the cycle.. dopa to l-dopa something..
20. Total ATPS produced by complete breakdown of 1 glucose to CO2 & water are
a. 10
b. 14
c. 20
d. 36
e. 38
21. Number of vertebras in body
a. 31
b. 32
c. 33
d. 34
e. 38
22. Tongue deviates to right on protrusion due to damage to
a. right hypoglossal nerve
b. left hypoglossal nerve
c. right lingual nerve
d. left glossopharyngeal
23. What decreases with aging
a. BP
b. Heart rate
c. pulse rate
d. residual volume
e. vital capacity
24. Scenario (maybe female) regarding Swelling in neck (forgot if swelling was firm or mobile), hoarseness of voice. there were other clinical findings given. best diagnostic test
a. xrays
b. radio scan
c. Thyroid test
d. biopsy
25. Nerve supply to tooth apex starts in which stage
a. bud stage
b. bell stage
c. apexogenesis
d. amelogenesis
e. dentinogenesis
26. Extraction of lower third molar, most likely nerve that is damged
a. lingual nerve
b. mental nerve
c. facial nerve
d. inferior alveolar nerve
27. the enzyme which is responsible for transfer of CO2 from tissues to blood and from blood to lungs
a. carbonic anhydrase
b. enolase
28. In exercise, skeletal muscles blood supply is increased by
a. parasympathetic
b. vasodilation by local metabolites
c. sympathetic
d. alpha adrenergics
e. beta adrenergics
29. True about maxillary sinus is
a. floor is formed by alveolar process of maxilla
b. lateral wall formed by….
c. some relation to cranium I guess
d. medial wall formed by sphenoid bone
e. has a small opening in its medial wall
30. True about all paranasal sinuses is
a. Develop at late fetal life
b. lined with pseudostratified columnar ciliated epithelium
c. all are diverticulae of nasal cavity
31. Howships lacunae contains
a. osteoblasts
b. osteocytes
c. osteoclasts
d. chondroblasts
e. chondrocytes
32. Bone that develops by both intramembranous and endochondrial ossification
a. mandible
b. maxilla
c. zygomatic
d. temporal
e. occipital
33. the joint or junction or the union between two halves of the mandible at an early age or at childhood is
a. symphesis
b. gomphosis
c. synchondorsis
d. syndesmosis
34. Patient had accident, now present with memory loss, which area is involved
a. hippocampus
b. thalamus
c. hypothalamus
d. cerebellum
e. cerebral cortex
35. Strongest stimulus for erythropeitein
a. hypoxia
b. increased ph
c. decreased ph
36. Most radiosensitive is
a. bone
b. haematopoeitic tissue
c. oral mucosa epithelium
d. respiratory epithelium
e. gut epithelium
37. Most radiosensitive is
a. germ cells in gonads
b. lymph node
c. intestinal epithelium
d. oral mucosa epithelium
e. gut epithelium
38. neural crest cells from the edges of neural tube fold in from hindbrain to form
a. Ligamentun arteriosum
b. foramen ovale
c. right atrium
d. papillary muscle
e. endocardial septum/cushions bw left and right atria
39. NOT derivative of neural crest cells
a. ameloblast
b. odonotblasts
c. glial cells
d. C cells of thyroid
e. sensory ganglion
40. Neural crest derivative is
a. dorsal horn cell
b. ventral horn cell
c. sensory ganglia
d. sensory ganglion of spinal nerves
41. Pt with bilirubin 10, having unconjugated bilirubin 1 and conjugated 9
a. Gilbert syndrome
b. hepatitis
c. hemolytic anemia
d. Wilson disease
e. Criggler Najjar syndrome
42. Fats that are transferred from its storage site to liver and kidneys is in the form of
a. free F.A bind to albumin
b. chylomicrons
c. TGs
d. VLDL
e. free fatty acid
43. Neural tube defect detection test in early pregnancy
a. amniocentesis
b. chorionic villus sampling
c. beta HCG
d. ultrasonography
e. xray abdomen
44. Damage to chorda tympani causes
a. loss of taste
b. loss of hearing
c. loss of smell
45. Some long scenario, that patient feels heaviness in eyelids n gets tired while talking, all about “myasthenia gravis”.. Motor activity also restricted. Which drug should b given to improve condition?
a. acetylcholine
b. acetylcholine esterase
c. acetylcholine esterase inhibitor
d. acetyl CoA
46. Renal blood flow best measured by
a. para amino hippuric acid (PAH)
b. insulin clearance (yes folks, there was insulin written there, I double checked)
c. creatinine clearance
d. is 1/3 of cardiac output
47. Milk is deficient in
a. pentothenic acid (answer)
b. vitamin C
c. iron
d. vitamin A
e. riboflavin
48. Parotid gland duct opens at
a. upper second molar
b. lower second molar
c. upper second premolar
d. lower second pre molar
49. Patient with accident and no visible injury has PH 7.6, PC02 20, HCO3 20
a. respiratory alkalosis
b. respiratory acidosis
c. metabolic alkalosis
d. metabolic acidosis
e. regulatory?? Acidogenesis
50. At age of 10-11 which teeth are present?
a) 13,23,35,45
b) 13,23,34,44
c)14,24,33,43
d)15,25,33,43
e. 13,23,33,43
51. Patient has anemia with git problem n neurological disturbance (and maybe some other features). Which factor is deficient
a. iron
b. intrinsic factor
c. vitamin B12
d. vitamin B1
e. vit C
52. Sucrose is
a. non-reducing sugar
b. is a disaccharide of glucose and glucose
53. Step which is common in both glycolysis and gluconeogenesis (the options maybe slightly wrong, but they were somewhat like this)
a. fructose 6 phosphate to glucose 6 phosphate (this option was definitely there)
b. citrate to oxaloacetate
c. glucose 6 phosphate to pyruvate
d. fructose 1,6 phosphate to fructose 6 phosphate
54. Defecation is carried out by
a. mass movement
b. parasympathetic reflex from sacral region
c. duodenocolic reflex
d. ileocolic reflex
e. (some hormone related option)
55. Thyroid hormone is released in blood flow in which (I guess the word “active” was used) form
a. thyroglobulin
b. thyroxine
c. T3
56. Mesiolingual cusp of upper 2nd Molar occludes with (yess cpsp had written lingual instead of palatal for upper tooth :/)
a. central fossa of lower 2nd Molar
b. buccal ridge of lower 2nd molar
c. in embrasure bw 1st and 2nd molar
d. in embrasure bw 2nd and 3rd molar
57. Iodine
a. requirement is increased during pregnancy
b. iodine uptake is controlled by pituitary
c. increase in adolescence
d. decreased intake leads to deficiency
e. is necessary for synthesis of thyroid homrone
58. Buffer for blood is
a. bicarbonate
b. phosphate
c. protein
d. hemoglobin
59. Tooth bud for development of dental lamina first appears at
a. 4th week of development
b. 6th week of development
c. 10th week
d. 11th week
e. 5th week
60. Regarding second heart sound
a. split in two in normal healthy individuals
b. low in frequency (pitch) then first
c. shorter duration then first
d. second is more prominent in diastole
61. Self replicating organelle
a. mitochondria
b. peroxisome
c.golgi bodies
d. endoplasmic reticulum
e. ribosomes
62. Macrophages for ingestion by phagosytosis, the enzymes are stored in
a. lysosome
b. peroxisome
c. golgi bodies
63. Regarding gingival (gums)
a. partially supplied by facial nerve on buccal side
b. partially supplied by buccal nerve
c. partially supplied by ------ on lingual side
d. partially supplied by ----- and ---- on lingual or buccal side
e. epithelium is of stratified squamous variety
64. Bone that develop by membrano endochondral ossification
a. nasal
b.sphenoid
c. parietal
d. temporal
e. zygomatic
65. Primary Fastest conducting fibres
a. A-alpha
b. A-beta
c. A-delta
d. C fibres
e. B fibres
66. Vitamin B12 is absorbed in
a. ileum
b. duodenum
c. colon
d. stomach
67. (another ileum related mcq)
Patient has done gastrectomy something or loss of ileum , which factor deficient
a. vitamin B12
68. Effect of normal exercise to increase minute ventilation is due to
a. increase CO2
b. decrease CO2
c. increase O2
d. Chemoreceptors
69. Brachial plexus related , which branch supplies extensors of arm
a. medial
b. lateral
c. medial n lateral
d. posterior
e. i forgot
70. Brachial plexus related one more tht which artery crosses or pta nai loops around (i guess) the brachial plexus ki pta ni konsi branch
a. suprascapular
b. transverse scapular
c. Supraclavicular
71. Regarding expiration
a. elastic recoil of diaphragm
b. elastic recoil of chest wall n lungs
c. external intercostals
d. serratus anterior
72. Free nerve endings are receptors of
a. pressure
b. fine touch
c. pain
d. temperature
73. Woven bone is
a. found in epiphysis
b. synonymous with primary or immature bone
c. synonymous with secondary bone
74. Upper lip is formed by
a. lateral nasal and maxillary process
b. medial nasal n maxillary process
c. medial nasal n lateral nasal process
75. Most common glial cells in brain grey matter
a. oligodendrocytes
b. fibrous astrocytes
c. Schwann cells
d. ependyma
76. Correct regarding vitamin C is
a. oxidizing agent
b. reducing agent
c. help in formation of proline side linkage (hydroxyproline)
d. act as co-enzyme for some reaction
e. co-factor in some reaction
77. Normal amount of daily intake
a. calcium 3g, phosphate 2g daily
b. calcium 2g, phosphate 3g
c. calcium n phosphate both 2g
78. Regarding middle ear
a. roof formed by tegmen tympani
b. floor has promontory
c. fenestra cochlea has three projections
d. mesial wall has stapes, malleus
79. First extracranial branch of facial nerve
a. zygomatic
b. posterior auricular
c. cervical
d. buccal
e. maxillary
80. Pituitary acidophils
a.controlled by releasing hormones , inhibiting hormones
b.controlled by releasing hormones, target tissues, inhibiting hormones
c.controlled by releasing hormones, target tissues
d. controlled by releasing hormones only
e. positive feedback
81. Dietary fibers
a. help in digestion of other food
b. are insoluble in water and large polysaccharides
82. Vestibular nerve contains
a. afferent fibres
b. efferent fibres
c. afferent and efferent
d. sympathetic fibres
e. mixed (parasymp n symp) nerve
83. Mandibular foramina
a. provide attachment to ligaments
b. lingula is posterior to it
c. hypoglossal nerve passes through it
d. provides axis for mouth opening
84. Regarding Brachial plexus, each cord
a.contents pass through axilla
b. has got branches from C5-T1
85. Relation of right vagus nerve with trachea while entering thorax
a. direct contact
b. separated by recurrent laryngeal nerve
c. azygos vein
d. separated by phrenic nerve
e. separated by brachiocephalic vein
86. Structure of floor of mouth has
a. long papilla with elastic and collagen fibers
b. long papilla with collagen fibers
c. small papilla with elastic fibers
87. Levator anguli oris muscle is innervated by
a. facial nerve
b. trigeminal nerve
c. glossopharyngeal
d. vagus nerve
88. True about osteogenesis
a. long bones grow by interstitial growth
b. uncalcified, unmineralized, initial bone formed is called osteoid
89. A boxer came to doctor for eye examination. Vision 6/6. He can lift eyeball but when he tries to depress eyeball then it rotates medially. Patient has diplopia. Which nerve is likely to be damaged
a. trochlear
b. abducent
c. superior nucleus of occulomotor
d. facial
e. inferior nucleus of occulomotor
90. Regarding coronary blood supply
a. occurs in systole
b. is independent of heart rate
c. supplied by/ controlled by ------sympathetic maybe
d. remains same during exercise,,I think ????
e. how much % of cardiac output ???
91. Regarding pyloric pump
a. pass contents from stomach to duodenum
b. increased by cholecystekinin
c. option related to some valve
d. option related to nerve supply (maybe inhibited by gastrin or ACh) ???
92. Patient has 2ml blood loss, in 1 hour, which is true regarding
a. decrease stroke volume
b. increased blood pressure
c. increase heart rate
d. decrease venous return
e. mild sympathetic response
93. Effect of moderate exercise on healthy individual
a. increased CO2
b. ph of blood remains same??
c. cardiac output and contractility related option
94. Viruses damage cells by
a. generating free radicals
b. altering protein synthesis
c. destroying cell nucleus
95. Glycoproteins are
a. contain carbohydrate (and protein?????)
b. contain phospholipid
c. option related to dna or rna somehing
96. regarding hormones
a. thyroid hormone causes linear growth (this option was in ppr, i remember it cz i marked it )
b. growth hormone (not so sure about this one, I remember this, my friends don’t :/)
c. somatomedins increase bone growth
97. vibration receptors are
a. pacinian
b. ruffini
c. merkel
d. meissener
98. regarding brain blood flow
a. have precapillary anastomosis
b. uniform through brain
c. at rest, get 20% blood supply
99. which is true about SA node (forgot the exact options)
a. option was like- sa node is more related to pericardium
b. option related to purkinje
c. option related to ventricle
100. nerve supply to lower lip
a. mental nerve
b. lingual nerve
c. facial nerve (maybe other options were also there, don’t remember this question n its options exactly)
PAPER-B
(4 February 2015)
1. Material used to condition dentine prior to placement of GIC??
a. bonding agent
b. primer
c. polyacrylic acid
d. citric cid
2. organic component which is same and most abundant in bone and dentine ??
a. collagen
b. glycosaminoglycans
c. elastin
d. hyaluronic acid
3. u have to give ceramic jacket crown, the die material suitable for/ used in this case will be ??
a. acrylic
b. amalgum
c. hard plasrer
d. electroplared copper
e. gold something.. not sure
4. Drug of choice for status epilepticus
a. diazepam
b. phenytoin
c. phenobarbitone
d. carbamazepine
5. Maximum dose of lidocaine with adrenaline which can b given in healthy individuals.......
A. 2 mg/kg
B. 5 mg/kg
C. 10 mg/ kg
D. 7 mg/kg
E. 15 mg/kg
6. Inhalation anaesthetic that increases cerebral Blood.flow
a. enflurane
b. halothane
c. sevoflurane
d. desflurane
7. Brain tumor with b lymphocytes, test for antibodies against which causative agent
a. CMV
b. EBV
c. HIV
8. Sulphonamide
a. causes Steven Johnson syndrome
b. is bactericidal
c. kernecticerus
d. is not used for UTI
9. Aminoglycoside is
a. amikacin
b. ciprofloxacin
c. chloramphenicol
d. clindamycin
e. vancomycin
10. Propanolol is contraindicated in
a. asthma
b. glaucoma
c. renal failure
d. hypertension
11. Increase in swelling due to involvement of lower molar is due to
a. hyaluronidase
b. enolase
12. 12 year boy with fracture of mesio-incisal edge of lower central incisor, no pulp exposure, material of choice for restoration is
a. amalgam
b. etching and resin restoration (composite)
c. GIC
d. acrylic
e. some option with inlay I guess
13. Penicillin
a. activated by B-lactamase
b. it has 4 beta-lactam groups that has antibacterial activity
c. is more affective against gram negative due to thick cell wall
d. was first discovered from amazon plant
14. NSAIDS are
a. potent COX inhibitors
b. used as antiepileptic
15. Absolute contraindication for sedative hypnotics is
a. angina pectoris
b. renal failure
c. epilepsy
d. liver damage
e. porphyrias
16. Acanthosis occurs in which layer
a. stratum granulosum
b. stratum spinosum
c. stratum basale
d. stratum corneum
17. Adrenaline/ Epinephrine cause decrease in
a. BP
b. HR
c. glucose level
d. BMR
e. cutaneous blood flow
18. ideal plaster
a. Alpha hemihydrates
b. beta hemihydrates
c. hydrocal
d. calcined calcium sulphate
e. calcium dihydrate
19. Strengthening agent in investment materials is
a. Quartz
b. cristoballite
c. stone
d. potassium tartrate
e. borax
20. principal hardener for noble metal alloys (vijay partab mcq)
a. platinum
b. copper
c. iron
d. silver
e. brass
21. Signs of morphine toxicity
a. miosis and bradypnea
b. miosis and tachypnea
c. mydriasis and bradypnea
d. mydriasis and tachypnea
e. bradypnea and half miosis (yes there was some inbetween weird option)
22. Morphine used
a. treat pain of terminally ill cancer patient
b. biliary colic
23. Regarding cornybacetrium diphtheria
a. forms spores
b. is a rod
c. forms exotoxins
d. gram negative
e. penicillin not effective on it
24. Multilocular radiolucency in mandible at lower third molar area
a. ameloblastoma
b. dentigerous cyst
c. fibrous dysplasis
25. Strongest phase in amalgam (vijay partab mcq)
a. gamma phase
b. gamma 1 phase
c. beta 1 phase
d. alpha 2 phase
e. gamma 2
26. HLA b27 causes which disease
a. ankylosing spondylitis
b. primary sjogren syndrome
c. rheumatoid arthritis
27. A girl (forgot her age) complains of ulcers on tongue which gets worse during stress and repeatedly recur during stress.
a. recurrent major aphthous ulcer
b. recurrent minor aphthous ulcer
c. herpetiform ulcer
28. Patient with radiotherapy of head and neck region has rampant caries due to
a. xerostomia
b. osteoradionecrosis
29. Adherence of plaque to tooth is due to
a. dextrans
b. saliva
c. sucrose
d. materia alba
30. Mechanism of action of local anesthetic is
a. block Na channels
b. block Ca channels
c. block K channels
d. block acetylcholine receptors
31. Patient took terfenedine for spring allergy. Later he developed respiratory tract infection, for which he was given an antibiotic but later developed arrhythmias.. Which antibiotic he was given tht caused arrhythmias?
a. ampicillin
b. cefaclor
c. erythromycin
d. ceftriaxone
e. doxycycline
32. An antibiotic which has antifungal activity (“systemic” antifungal-not sure?)
a. bacitracin
b. nystatin
c. tetracycline
d. ketoconazole
e. polymyxin
33. Heavy smoker, complains of dyspnea, chest pain and hemoptysis since three months. Bronchoscopy reveals fungating mass obstructing medium sized bronchi. Histologically what can this tumor be?
a. small cell carcinoma
b. squamous cell carcinoma
c. adenocarcinoma
d. bronchial carcinoma
34. Common cause of venous thrombosis
a. prolonged immobilization
b. protein C deficiency
c. antithrombin III deficiency
d. tissue damage in surgery
35. Scenario of a male patient who had prostate surgery. The patient was on bed rest (forgot exact time period like how many days bed rest) and his recovery was going smoothly without any complication. One day he went to bathroom, after returning he suddenly developed dyspnea and fell down (sorry I forgot the rest of the story)
a. pulmonary embolism
b.
36. True about prostaglandins
a. arachidonic acid metablolites
37. Patient with history of thyrotoxicosis now presents with exophthalmos, best diagnostic test is
a. antithyroid antibodies
b. TSH
c. T3 and T4
38. Blood transfusion reaction occurs due to
a. type 4 hypersensitivity
b. type 2 hypersensitivity
c. type 1
d. type 3
39. Polymerization shrinkage in pure methyl methacralate is (vijay partab mcq)
a. 33%
b. 21%
c. 60%
d. 30%
e. 7%
40. Patient has painless swelling in mid palatal region region which is non tender
a. nasoalveolar cyst
b. globulomaxillary cyst
c. torus palatinus
d. carcinoma
41. calculi in the salivary duct, causes which of the following changes
a. apoptosis
b. degeneration
c. necrosis
d. atrophy
42. Zinc oxide eugenol impression paste hardens by
a. chemical reaction
b. moisture
43. Bronze discoloration on oral mucosa is seen in
a. addison’s disease
b. amalgam filling
c. peutz jegherz syndrome
44. What is necessary for plaque formation?
a. sucrose and saliva
b. sucrose and glucose
c. sucrose and lactic acid
d. calcium phosphate n bicarbonate
45. Patient has gone through partial hepatectomy. Liver regenerates in
a. 7 days
b. 12-14 days
c. 7 weeks
d. 5 weeks
46. Most common route of hepatitis B and C from patient to doctor is
a. blood transfusion
b. contaminated needles prick
c. water droplets
d. air
47. In case of chronic hepatitis, what changes may be seen microscopically
a. fibrosis
b. lymphatic infiltration
c. councilman bodies
48. Councilman bodies are seen in (some scenario was given n lab findings as well)
a. apoptosis
b. coagulative necrosis
c. liquefactive necrosis
d. enzymatic fat necrosis
49. Scenario of man inhaling silica dust for 6 years due to his job. Developed Cough. 1cm mass on x-ray. Other histological features were also given (the scenario was quite long). What cells may be seen in his lungs
a. foreign body giant cell
b. eosinophils
c. lymphocyte
d. some carcinoma maybe in options was there
50. Aspirin causes
a. GI bleeding and ulcers
b. causes seizures
51. Local anesthesia (I forgot if adrenaline was mentioned or not) is contra indicated in
a. ischemic heart disease
b. cushing disease
c. thyrotoxicosis
d. hyperglycemia
e. renal failure
52. Scenario about an African-American woman, 25 yr of age, who has long history of severe anemia, weakness, non healing leg ulcers. Have had multiple lifelong transfusions. Frequently visits hospital for abdominal pain and git problem. What is diagnostic feature
a. sickle cell
b. tear drop cell
c. shistocytes
d. positive coombs test
53. Area most sensitive to inhalational anesthesia
a. cerebral cortex
b. respiratory medullary cortex
c. thalamus
d. reticular part
e. limbic system
54. Sub endothelial deposits are seen in
a. diabetes mellitus
b. acute pyelonephritis
c. other options related to renal pathology
55. Patient has decreased submandibular gland secretion and pain during mastication. Salivary calculi is suspected. What would be ur choice of x-ray to detect this
a. periapical view
b. OPG
c. lateral view
d. mandibular occlusal view
e. paranasal sinus view
56. Fever (pyrexia) is mediated by
a. IL-1 and TNF-alpha
b. IL-12
c. C3b
d. leukotrienes B4
57. Which of the following is used to treat pathogenic fungi
a. clindamycin
b. amoxicillin
c. ketoconazole
58. While curing denture, insufficient pressure is applied. Porosity will be seen at (vijay partab mcq)
a. at thickest area of denture
b. uniformly distributed throughout the denture surface
c. at denture periphery
d. at junction bw tooth n base
e. in frenum areas
59. Area under stress-strain curve, the energy required to fracture material is (vijay partab mcq)
a. ultimate tensile strength
b. toughness
c. hardness
d. elastic limit
e. resilience
60. Some long scenario.. Painful, redness, tenderness, swelling in right big toe, in metacarpophalyngeal joints, thumbs, fingers and bla bla. Nodules on same side of knee. Which factor is responsible?
a. uric acid
b. RA factor
c. Anti Nuclear Antibody
d. anti DNA antibody
61. A child comes to you with bowed legs (long scenario, it had other clinical features n lab values were also given, gait was also affected I guess). Ca 6, alkaline phosphatase 1080. Diagnosis
a. osteomalacia
b. rickets
c. osteoporosis
d. osteopetrosis
62. Metastatic calcification most commonly occurs in
a. kidney
b. lung
c. bone
63. Scenario; Old age, diabetic patient with lower limbs swelling, now to confirm renal failure. best test
a. urea & creatinine plasma level
b. urine dipstick test
c. creatinine clearance
64. In what condition, there will be renal stone in 75% cases
a. hyperparathyroidism
b. hypoparathyroidism
c. polycystic kidney
d. hypervitaminosis D
65. Drug metabolized by non blood, non tissue esterase
a. fentanyl
b. morphine
c. remifentanil (answer)
d. sulfantanyl
e. alphafentanyl
66. Reduced occlusal area means
a. increased marginal fracture of amalgam filling
b. decreased marginal fracture of amalgam filling
c. periodontal involvement
d. pulpal involvement
67. Decreased cerebral blood flow caused by
a. seizures
b. anemia
c. hyperbaric oxygen
d. 7% CO2
e. intraventricular inj of nor-epinephrine
68. Regarding antibody binding site, it is formed by
a. highly variable region of H and L chains (answer)
b. constant region of H and L chain
c. constant region of H chain, variable L chain
d. constant region of L chain, variable H chain
69. A 50 year old man fell on sidewalk and got bruises on left hand. He got up but suddenly got severe pain on right side, a manager from nearby shop called hospital. In emergency dept, on x-ray, trachea was found to be deviated to right side. There was tachycardia and tachypnea, dyspnea. No breathing sound on right lung. Upon thoracocentesis there was rush of air.. (it was a very long, weird scenario; other findings were also given)
a. bronchoplural fistula
b. intrinsic asthma
c. pulmonary effusion
d. emphysema
e. foreign body aspiraion
70. Obtundants act by
a. blocking dentinal tubules
b. anesthetizing dentinal tubules
c. precipitating protein in dentinal tubules
d. promoting secondary dentine formation
71. After abdominal surgery, 2 month scar would have
a. 50-70% strength will improve rapidly
b. 50-70% improve slowly due to modification of collagen
c. no effect
d. 90-80% complete strength
72. Some long scenario related to heart. There was infarction in right coronary artery 2cm from point of origin. After 3 days, which enzyme or factors would be found that would help in healing process? (it was a weird scenario, had some grammatical mistake which made it more confusing, other findings were also given which I forgot)
a. C3b complement
b. vascular endothelial growth factor (VEGF)
c. histamine
73. Primary difference between primary and secondary wound healing
a. granulation tissue
b. keloid
c. contraction of wound
74. Granulation tissue
a. traps bacteria
b. provides nutrients to macrophages
c. helps in wound contraction
d. something related to neutrophils maybe
75. Scenario. Edema in legs due to increase hydrostatic pressure
a. nephrotic syndrome
b. protein losing enteropathy
c. liver damage
d. constrictive pericarditis
76. Hyphema is hemorrhage in
a. anterior chamber of eye
b. posterior chamber of eye
c. outer vascular layer of eye
d. nervous layer of eyeball
e. pigmented layer
77. Patient has been given inferior alveolar nerve block, goes into shock due to
a. hypovolumic shock
b. neurogenic shock
c. vasovagal syncope
78. A female upon examination of endocervical region is found to be having epithelial changes of stratified squamous variety. This change is
a. dysplasia
b. hyperplasia
c. metaplasia
d. aplasia
79. Vickers hardness number of type 1 gold is
a. 30-50
b. 50-90
c. 90-120
80. Regarding VEGF
a. it act primarily on receptor tyrosine kinase
b. not yet modulated pharmacologically
c. no role in healing
d. are not found on heart
e. platelet inhibiting factor inhibits VEGF
81. A person with malabsorbtion problem presents with macrocytic anemia, the rbc’s are of irregular size and shape (not sure if megaloblast mentioned or not but shape size was given). Hyper segmented neutrophils. Anemia is due to
a. vit B12 deficiency
b. intrinsic factor deficiency
c. anemia of chronic disease
82. Most common cause of iron deficiency anemia
a. persistent blood loss
b. pregnancy ??? not sure..
c. diet??? Not sure
83. Sedative hypnotics decreases skeletal muscles effect by acting on
a. cerebral cortex
b. neuromuscular junction
c. pre-junctional ----?
d. neuronal junction
e. interneuron
chandkian key= interneuron- correct
rabia ali= cerebral cortex
84. Morphine causes
a. decrease peristalsis
b. increases-----------
c. increases --------
d. increases -----------
e. increases HCL and -----------
85. Nickel when added to noble metal alloys
a. increases ductility
b. fusion temperature
c. hardness
d. strength
e. MOE
86. Silver in amalgam causes (vijay partab mcq)
a. decrease ductility
b. decrease setting time
c. increase plasticity
d. minimize formation of oxides
87. Compared to dental plaster, dental stone need
a. less gauging water
b. more gauging water
c. equal gauging water
88. Self cure and heat cure are similar in which aspect (vijay partab mcq)
a. color stability
b. curing shrinkage
c. internal porosity
d. hardness
e. strength
89. If water/powder ratio is increased in dental stone (vijay partab mcq)
a. it increases setting expansion
b. increases setting time
c. decreases setting time
d. decreases expansion
e. surface hardness increased
90. Young’s modulus or modulus of elasticity of material is indicative of (vijay partab mcq)
a. rigidity
b. resilience
c. malleability
d. breaking strength
e. impact force
91. Virus most commonly transmitted by blood
a. HBV
b. CMV
c. Hepatitis A
d. HIV
92. Scenario 9 yr old girl, suddenly develops increasing tiredness and weakness. On x-ray there is bilateral hilar lymphadenopathy. Blood test is normal, no sign of infection detected.
a. bronchial carcinoid tumor
b. goodpasture syndrome
c. hypersensitizing pneumositis
d. infective endocarditis
e. t.b
93. True regarding polysulphide impression material
a. equally sensitive to temperature during curing like other silicones
b. more temperature sensitive then silicones during curing
c. less temperature sensitive then silicones during curing
d. totally insensitive
94. Corrosion of amalgam will be less when
a. copper content 3-6%
b. copper content 18-30%
c. silver is added
d. contaminated by saliva
e. avoid gamma 2 phase
95. Aspirin acts by blocking
a. prostaglandins
b. histamine
c. bradykinin
96. Scenario, 38 yr old having prolonged history of breathing problems, dyspnea. X-ray showed emphymatous change in lung (lung vol increased). Most appropriate test
a. chloride sweat test
97. Heat treatment of metals (increase strength??)
a. attract molecules of different radii together
b. strain hardening
c. homogenization of structure
d. attract molecules of same radii together
98. Scenario, 7yr old. Weak, tired, anemic. Lymphocyte 88%, wbc 12%, platelets were normal. And rbc count was given.. confirmatory test
a. bone marrow examination
b. blood test
c. some x-rays
99. Radiations kill by
a. generating free radical
b. H2O2
c. oxides
d. oxygen
100. A patient has iron deficiency anemia, iron is necessary for
a. globin synthesis
b. heme synthesis
c. DNA synthesis
Thanks to Dr. Nafiah
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